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Home/Diagnosis/ICD-10 Coding for Cataracts

ICD-10 Coding for Cataracts

H25.0
H26.1
H26.33

Complete ICD-10-CM coding and documentation guide for icd-10 coding for cataracts includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lens Opacity
Clouding of the Lens
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Key Information: ICD-10 Coding for Cataracts

Essential facts and insights about ICD-10 Coding for Cataracts

Use ICD-10 code H25.0 for age-related nuclear cataract, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Age-related nuclear cataract

Non-Billable
H25.0
Non-Billable

Diagnostic Criteria

  • • Patient age over 50 with nuclear sclerosis

Applicable To

  • • Nuclear sclerosis

Important Notes

  • • Ensure age-related etiology is documented.

Traumatic cataract

Non-Billable
H26.1
Non-Billable

Applicable To

  • • Cataract due to trauma

Important Notes

  • • Ensure trauma is clearly documented.

Drug-induced cataract, bilateral

Billable Code
H26.33
Billable

Applicable To

  • • Cataract due to medication

Important Notes

  • • Document specific drug and adverse effect.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.1

Presence of intraocular lens

Use post-cataract surgery to document pseudophakia.

Frequently Asked Questions

What is the ICD-10 code for age-related cataracts?

The ICD-10 code for age-related nuclear cataracts is H25.0, which is used when nuclear sclerosis is confirmed in patients over 50 with gradual vision loss.

How do you code traumatic cataracts?

Traumatic cataracts are coded with H26.1, and require documentation of ocular trauma history and visible lens disruption.

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